Individual
CAMERON JEFFREY KOTHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
404 W GOODWIN ST, PLEASANTON, TX 78064-4002
(830) 569-2138
Mailing address
326 BIG OAK DR, ADKINS, TX 78101-2717
(210) 867-7044
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216359
TX
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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